AZA SSP Sustainability Award
2017 A p p l i c a t i o n
All applications are due by COB on February 3, 2017, and must be compiled into one PDF file.
Please make sure the file name reflects both the award name and the institution. Abbreviations are fine.
AZA has contracted with WEBCARGO to provide a quick and easy way for you to submit your application. Please submit your application using this link:
WEBCARGO allows you to send large files via email, without the need to reduce their size. There is no need to sign up, nothing to install andnothingto download. All deliveries are encryptedso security is not an issue and WEBCARGO sends confirmation when your file is received.The upload speed varies depending on your Internet Service Provider and the size of your file so you may need to be patient. Please send a note to support.webcargo.netif you need assistance with the upload.
Questions? Please contact Barbara Pueschel (; 301-244-3326).
See 2017SSPSustainability Award Guidelines for information about completing this application.
A. APPLICANTAZA SSPPROGRAM
- SSP name:
Scientific name (include subspecies if applicable):
B. APPLICANT
2.Who is applying for this award? (AZA SSP Coordinator, AZA TAG Chair, AZA Studbook Keeper, or AZA SAG Chair)
- Applicant name:
- Applicant institution:
- Applicant institution address:
- Name of Institution Director:
- Signature of Director:
- AZA SSP Coordinator Name (if applicant is not the SSP Coordinator):
- AZA SSP Coordinator Institution Name (if applicant is not the SSP Coordinator):
- Name of AZA SSP Program’s AZA TAG:
- Name of AZA SSP Program’sAZA TAG Chair:
- Signature of AZA SSP Program Applicant AZA TAG Chair:
C. BASIC INFORMATION PERTAINING TO SSPPROGRAM
- Year AZASSPProgram began:
- Total number of animalscurrently in this AZA SSP Program:
- Total number of institutions currently in this AZA SSP Program:
- Total number of Non-AZA institutions currently participating in this AZA SSP Program:
- Total number of animals currently cared for by Non-AZA institutions in the AZA SSP Program:
D. DESCRIPTION OF INITIATIVE(S) IMPACTING SSP POPULATION SUSTAINABILITY
- Please describe thesignificant initiative(s) that have been implemented to result in a significant and quantifiable increase in this SSP population’s sustainability. Examples may include innovative actions, advances in husbandry/management, significant animal importations, major financial investment, collaborative research, and the establishment of critical partnerships.
E. IMPACT OF INITIATIVE ON SSP SUSTAINABILITY
- Briefly quantify and document how the applicant’s activities significantly impacted the SSP’spopulation sustainability. Cite all relevant sources and documents.
F. IMAGE
- Please attach one digital image that illustrates the species.
G. ACCESSIBILITY
- Pleasedescribe how any resulting forward actions have been made accessible to all appropriate institutions in an effective and timely way to advance SSP sustainability.
H. TAG PRIORITIES
- Describe how these effortsadvance the related AZA TAG and SSP’s long-term goals for the SSP Program.
I. COLLABORATIONS, if applicable.
- Please list any other groups and/or organizations deserving special acknowledgment for participating in the initiative and explain the value of their contribution.
J. PARTICIPATION, if applicable
- Please list any individuals and/or institutionsdeserving special acknowledgment for participating in the initiative
K. SUBMITTER
The SUBMITTER is that person responsible for the contents of the entry. Failure to provide an electronic signature on the designated line will constitute an incomplete application.
Name:
Title:
Signature:
Date:
E-mail address:
J. NEWS RELEASE FORM
Submit the Sustainability News Release Form (available at with the application and also email the form as a WORD document to .
K. WINNER’S RELEASE: HELP YOUR FELLOW MEMBERS!
If yours is the winning application, would you be willing to have it posted on the AZA website?
Yes No